The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid Preparation

The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid Preparation

Arthroscopic posterior labral repairs for posterior shoulder instability can be challenging. Preparation of the capsulolabral tissue and glenoid bony surface is critical. Iatrogenic injury to the articular cartilage and unwarranted truncation of the capsulolabral tissue are concerns during preparati...

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Main Authors: Kushal V. Patel, M.D., Jonathan T. Bravman, M.D., Eric McCarty, M.D.
Format: Article
Language:English
Published: Elsevier 2016-06-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628716000268
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spelling doaj-068a9bc284ae473dac80d28a2a4a30842021-06-10T04:52:42ZengElsevierArthroscopy Techniques2212-62872016-06-0153e433e439The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid PreparationKushal V. Patel, M.D.0Jonathan T. Bravman, M.D.1Eric McCarty, M.D.2Baylor Scott and White Orthopaedics at Garland, Garland, Texas, U.S.A.; Address correspondence to Kushal V. Patel, M.D., Baylor Scott and White Orthopaedics at Garland, 601 Clara Barton Blvd, Plaza III, Ste 250, Garland, TX 75042, U.S.A.CU Sports Medicine, Department of Orthopaedics, University of Colorado, Boulder, Colorado, U.S.A.CU Sports Medicine, Department of Orthopaedics, University of Colorado, Boulder, Colorado, U.S.A.Arthroscopic posterior labral repairs for posterior shoulder instability can be challenging. Preparation of the capsulolabral tissue and glenoid bony surface is critical. Iatrogenic injury to the articular cartilage and unwarranted truncation of the capsulolabral tissue are concerns during preparation. As a result, several techniques have been described to potentially avoid these complications. We describe an additional technique for improving access and preparing the capsulolabral tissue and glenoid surface through a “sublabral window.” This technique approaches the posterior labrum and glenoid through an already established posterior portal and mitigates iatrogenic injury to the labrum and articular cartilage. The technique is rather simple and easily adaptable.http://www.sciencedirect.com/science/article/pii/S2212628716000268
collection DOAJ
language English
format Article
sources DOAJ
author Kushal V. Patel, M.D.
Jonathan T. Bravman, M.D.
Eric McCarty, M.D.
spellingShingle Kushal V. Patel, M.D.
Jonathan T. Bravman, M.D.
Eric McCarty, M.D.
The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid Preparation
Arthroscopy Techniques
author_facet Kushal V. Patel, M.D.
Jonathan T. Bravman, M.D.
Eric McCarty, M.D.
author_sort Kushal V. Patel, M.D.
title The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid Preparation
title_short The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid Preparation
title_full The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid Preparation
title_fullStr The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid Preparation
title_full_unstemmed The “Sublabral Window” in Arthroscopic Posterior Shoulder Instability Surgery: Description of a Technique for Safe Posterior Glenoid Preparation
title_sort “sublabral window” in arthroscopic posterior shoulder instability surgery: description of a technique for safe posterior glenoid preparation
publisher Elsevier
series Arthroscopy Techniques
issn 2212-6287
publishDate 2016-06-01
description Arthroscopic posterior labral repairs for posterior shoulder instability can be challenging. Preparation of the capsulolabral tissue and glenoid bony surface is critical. Iatrogenic injury to the articular cartilage and unwarranted truncation of the capsulolabral tissue are concerns during preparation. As a result, several techniques have been described to potentially avoid these complications. We describe an additional technique for improving access and preparing the capsulolabral tissue and glenoid surface through a “sublabral window.” This technique approaches the posterior labrum and glenoid through an already established posterior portal and mitigates iatrogenic injury to the labrum and articular cartilage. The technique is rather simple and easily adaptable.
url http://www.sciencedirect.com/science/article/pii/S2212628716000268
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